Organization
CENTRAL CARE PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLEX K MUDIBO (CEO)
(316) 847-3170
Entity
Organization
Contact information
Practice address
629 S LONGFELLOW ST, WICHITA, KS 67207-2368
(316) 847-3170
Mailing address
5112 E CENTRAL AVE, WICHITA, KS 67208-4110
(316) 371-5355
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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